Mrs Susan Knowlton, FPMHNP is a
Clinical Nurse Specialist - Psychiatric/mental Health based in Gulfport, Mississippi. Mrs Susan Knowlton is licensed to practice in Mississippi (license number R865348) and her current practice location is
1600 Broad Ave, Gulfport, Mississippi. She can be reached at her office (for appointments etc.) via phone at
(228) 863-1132.
NPI number for Mrs Susan Knowlton is 1982623393 and her current mailing address is 1600 Broad Ave, Gulfport, Mississippi. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982623393.
Provider's Profile
| Full Name | Mrs Susan Knowlton |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 1600 Broad Ave, Gulfport, Mississippi |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1982623393
- Provider Enumeration Date: 07/18/2006
- Last Update Date: 04/16/2014
Medical Identifiers
Medical identifiers for Mrs Susan Knowlton such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982623393 | NPI | - | NPPES |
| 00018213 | Medicaid | MS | |
| 01520708 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | R865348 (Mississippi) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Susan Knowlton is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Susan Knowlton, FPMHNP
1600 Broad Ave,
Gulfport, MS 39501-3603
Ph: (228) 863-1132 | Mrs Susan Knowlton, FPMHNP
1600 Broad Ave,
Gulfport, MS 39501-3603
Ph: (228) 863-1132 |
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